CAJ | 학술논문

目的探讨术前影像学检查判定肾脏小肿瘤(SRMs)性质的临床价值.方法分析武汉协和医院收治59例SRMs患者临床资料,比较术前各种影像学检查在SRMs诊断中的优势及价值.结果彩色多普勒超声、计算机断层扫描(CT)、磁共振成像(MRI)及正电子发射显像(PET)/CT判定SRMs良恶性的准确率分别为93.22％、94.73％、95.00％及100％;敏感性分别为97.87％、83.33％、94.12％及100％;特异性分别为75.00％、96.07％、100％及100％.结论术前影像学检查有助于提示SRMs的性质,CT及MRI两者价值相当,具有重要参考价值,超声可作为筛查SRMs的首选方法,PET/CT诊断价值最高,但因价格高不作为常规检查.
목적 탐토술전영상학검사판정신장소종류(SRMs)성질적림상개치.방법 분석무한협화의원수치59례SRMs환자림상자료,비교술전각충영상학검사재SRMs진단중적우세급개치.결과 채색다보륵초성、계산궤단층소묘(CT)、자공진성상(MRI)급정전자발사현상(PET)/CT판정SRMs량악성적준학솔분별위93.22％、94.73％、95.00％급100％;민감성분별위97.87％、83.33％、94.12％급100％;특이성분별위75.00％、96.07％、100％급100％.결론 술전영상학검사유조우제시SRMs적성질,CT급MRI량자개치상당,구유중요삼고개치,초성가작위사사SRMs적수선방법,PET/CT진단개치최고,단인개격고불작위상규검사.
Objective To explore the clinical values of preoperation image examinations for predicting properties of small renal masses (SRMs).Methods The clinical data of 59 patients with SRMs were retrospectively analyzed,and the advantage and value of preoperative different imaging examinations in the diagnosis of SRMs were compared.Results The accuracy rate of detecting malignant and benign of SRMs via ultrasound,computed tomography (CT),magnetic resonance imaging (MRI) and positron emission tomography (PET)/CT was 93.22％,94.73％,95.00％ and 100％,respectively; the sensitivity was 97.87％,83.33％,94.12％ and 100％,respectively,and the specificity was 75.00％,96.07％,100％ and 100％,rspectively.Conclusion Preoperative imagings are conducive to predicate the nature of SRMs.CT and MRI have equivalent and crucial reference value.Ultrasonic can served as the preferred screening method for SRMs.PET/CT has the highest diagnostic value for SRMs,but not as a routine examination due to prohibitive costs.